SOLICITATION, OFFER AND AWARD
2. Contract No. 3. Solicitation No.
1.
This Contract is a Rated Order Under DPAS (15 CFR 350) 4. Solicitation Type
Rating
5. Date Issued
Page of pages 1 1 6. Requisition/Purchase No.
YA1323-04-RP-0001
7. Issued By Code COACQSU
Sealed Bid (IFB) 05/18/2004 X Negotiated (RFP) 8. Address Offer To (If other than item 7)
12345-0-0
Code
BUREAU OF CENSUS ACQUISITION BRANCH, ROOM G-312-3 4700 SILVER HILL ROAD WASHINGTON DC 20233
NOTE: In sealed bid solicitations “offer” and “offeror” mean “bid” and “bidder”.
SOLICITATION
9. Sealed offers in original and 6 copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in Suitland (date).
Federal Center, Bldg 3, Rm G312 until 03:00 PM (hour) local time Jun 21, 2004
CAUTION – LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.
10. For Information Call:
A. Name
B. Telephone No. (include area code) (NO COLLECT CALLS)
PHILIP M. HODGES PMH
Description
301-763-2835 or 301-763-4016
Description Page(s)
(x) Sec Part I – The Schedule
11. TABLE OF CONTENTS Page(s) (x) Sec Part II – Contract Clauses
X L Instr., Conds., and Notices to Offerors 14 X M Evaluation Factors for Award 2 OFFER (Must be fully completed by offeror) x NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period. X 12. In compliance with the above, the undersigned agrees, if this offer is accepted within _______________ calendar days (60 calendar days unless a different period is inserted by the offeror) from the data for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the X
13. Discount for Prompt Payment
designated point(s), within the time specified in the schedule. 10 Calendar Days (See Section I, Clause No. 52.232-8) 20 Calendar Days 30 Calendar Days _____ Calendar Days
X X X X X X X X
A B C D E F G H
Solicitation/Contract Form Supplies or Services and Prices/Costs Description/Specs./Work Statement Packaging and Marking Inspection and Acceptance Deliveries or Performance Contract Administration Data Special Contract Requirements
1 1 5 1 2 1 5 7
X I Contract Clauses Part III – List of Documents, Exhibits and Other Attachments
X J List of Attachments Part IV – Representations and Instructions
5 5 10
X
K
Representations, Certifications and Other Statements of Offerors
%
Amendment No. Date
%
Amendment No.
%
Date
%
14. Acknowledgment of Amendments
The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated.
15A. Name Code and Address of Offeror 15B. Telephone No. (Include area code)
Facility
16.
Name and Title of Person Authorized to Sign Offer (Type or print)
15C. Check if Remittance Address is difference from above. Enter such address in Schedule.
17. Signature
18. Offer Date
AWARD (To be completed by Government)
19. Accepted as to Items Numbered 20. Amount 21. Accounting and Appropriation 23. Submit Invoices to Address Shown in (4 copies unless otherwise specified) Payment Will be Made By Code Item
22. Authority for Using Other Than Full and Open Competition: 10 U.S.C. 2304 (c)( ) 41 U.S.C. 253 (c)( 24. Administered By (If other than Item 7) Code
)
26. Name of Contracting Officer (Type or print)
27. United States of America (Signature of Contracting Officer)
28. Award Date
IMPORTANT – Award will be made on this form, or on Standard Form 26, or by other authorized official written notice. 33-134 NSN 7540-01-152-8064 PREVIOUS EDITION NOT USABLE
STANDARD FORM 33 (Rev. 4-85) Prescribed by GSA – FAR (48 CFR) 52.214 (c)